HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICfTfION TO BE
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
Address: a62()o Mef��� �yCn
Property Tax ID N: `9!f
Site Plan Name:
/� ,�
Project Name: f7Y rAwNe
Permit Number villa^(..— 0Op0
I -0 03gq
Building Permit Application
RECEIVED
FEB 0 3 2020
Permitting Department
Commercial Residential ;(t. Lucie County
Additional work to be performed under this permit — check all that apply:;
!_Mechanical _ G s Tank _
/ Gas Piping _ Shii
Elertrir
,,,,,,.."s —SF
Total Sq. Ft of Construction: ca(e [%
Cost of Construction:
_ Gtine'rator
Sq. Ft. of First.;'Floor- J
Utilities: _ Sewer , ✓ Septic Building Height:
. ;
Lot No.
Block No. I
Windows/Doors
NameAdams Homes of Northwest Florida,lnc.k3�
Address:3000 Gulf Breeze Parkway
City: Gulf Breeze
Zip Code32563 State:
: — Fax:772-905-8511
Phone No;772-905-8394
E-Mail: Pslpermits@adamshomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Pitch
Name: Willia ;BFyan Adams - Qualifier uN�
Company:Adam Homes of Northwest Florida, Inc.
Address:300Q GIf Breeze Parkway
City: Gulf Breeze
State: FL
Zip Code: 3256_= Fax:,
Phone No 7724905-8394
E-Mailpsipert.nits,'@adamshomes.com
State or County I:icense CRC1330146
If value of construction is $tice of Comm
z500 or more, a RECORDED Noencen
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is
:-1
�r��IVIY=n� av u nvttlt: Not Applicable
Name: Keesee Associates Architecture Design, Planning
Address: 945 50ulh'D2nge Blossom hail
City: Apopka
Zip: 3zr03 Phone407-8802304 State: FL
FEE SIMPLE TITLE HOLDER: C� Not Applicable
Name:
City:
Zip:
MORTGAGE COMPANY: GL Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Address:
City:
Zip:
.XNotApplicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St-Luci
which is noconfli makes ih any applicableIon Ho ea Owners Assoclati Association will abylaws or andpcovenants that build
drestrictbor prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE nF fntulurwtrrur..r u
Signature
as Agent for Owner I Signature of
STATE OF FLORI@A
COUNTY OF JGiO {- LAC Q
The fo ing instrument was acknowledge before me
this A day of �[II,Jpc,✓1 fp a, , 20%`/ by
OR Produced Identification
STATE OF FLOIHDA
Holder
COUNTY OF_Z.Q j- //luCt
The for$Ding instr ment was�cknowledged before me
this 7 day of M / 20 R by
Name of person
onally Known "n OR Produced Identification
Type of I I Iden ca Io
ot�Not�ary Public- State of Florida
7:✓ .,
GRIFFIN (Signature of Notary Ppbij
+vNya. # GG11f5�2W Commission IN
EXPIRES September 26, 2021 „
MUNI ZONING PLANSCOUNTER I REVIEW I SREVIEWOR REVIEW I VEGETAREVIEWON
GRIFFIN
GG137624
r 26. 2021
SEATURTLE MANGROVE
REVIEW REVIEW